| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $134.49 | $167.27 | $269.72 | |
Lucent Health
| Facility | $163.31 | $489.68 | $489.68 | |
Lucent Health
| Professional | $371.46 | $433.18 | $433.18 | |
Oscar Health
| Professional | $76.30 | $192.70 | $232.20 |